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CA Form 460 Recipient Committee Semi-annual Campaign Statement (Oct - Dec 2015) Susan Brooks COVER PAGE Recipient Committee Typeprint in ink. Date Stamp Statement yp or CALIFORNIA Campaign 460 RECEIVED Cover Page FORM SF RANCHO PALOS VE (Government Code Sections 84200-84216.5) ` Statement covers period Date of election if applicable: FEB� 0 1 2416 Page J of October 18, 2015 (Month, Day, Year) For Official Use Only from December 31, 2015 November 3, 2015 _ - SEE INSTRUCTIONS ON REVERSE through Y CLERK'S OFFICE 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: ® Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee (''Semi-annual Statement ❑ Special Odd-Year Report 0 Recall 0 Controlled ❑ Termination Statement 0 Supplemental Preelection (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment (Explain below) O Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information 11378646 Treasurer(s) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Ann Marinovich Susan Brooks for Rancho Palos Verdes City Council 2015 MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Rancho Palos Verdes CA 90275 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Rancho Palos Verdes CA 90275 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true an rrect. i ,_ ,, Executed on By AV to roponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee Campaign Statement CALIFORNIA 460 FORM Cover Page —Part 2 Page - of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Susan Brooks OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Rancho Palos Verdes City Council ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Rancho Palos Verdes CA 90275 Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s) for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES EI NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period Summary Page to whole dollars. CALIFORNIA 460 October 18, 2015 FORM from December 31, 2015 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and 2,099 33,997 General Elections 1. Monetary Contributions Schedule A,Line 3 $ $ 0 5,000 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 ' 2,099 38,997 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ $ 550 550 Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 2,649 $ 39,547 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ 15,664 $ 27,057 Candidates 7. Loans Made Schedule H,Line 3 0 0 15,664 27,057 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ ' (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ 15,664 $ 27,057 Current Cash Statement i_______/ $ 25,505 12. Beginning Cash Balance Previous Summary Page,Line 16 $ To calculate Column B,add 2,099 amounts in Column A to the 13.Cash Receipts Column A,Line 3 above 0 corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule I,Line 4 - from Column B of your last reported in Column B. 15.Cash Payments Column A,Line 8 above 15,664 report. Some amounts in 11,940 Column A may be negative 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 0 for this calendar year, only 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7, and 9(if 0 any). 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ 0 FPPC Form 460(January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC(866/275-3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded period Monetary Contributions Received to whole dollars. Statement covers peCALIFORNIA 460 October 18, 2015 from FORM December 31, 2015 SEE INSTRUCTIONS ON REVERSE through _ Page of___Z______ NAME OF FILER I.D. NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I D NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Kathryn Edgerton 10IND Retired 10/19/15 RPV CA 90275 [1]corm 200 400 400 [110TH ❑PTY ❑SCC Patty Woods Gawlik 2IND Artist 10/22/15 RPV, CA 90275 Li Com Self 100 100 100 ❑OTH ❑PTY ❑SCC Steven Anderson WIND Attorney 10/27/15 RPV CA 90275 11 COM 200 200 200 El OTH Quinn Emanuel Urquhart ❑PTY & Sullivan ❑SCC Phyllis Weitzman BIND Retired 11/3/15 , RPV CA 90275 ❑CoM 100 100 100 ❑OTH ❑PTY ❑SCC New Majority California PAC ❑IND 11/9/15 ®COM 500 500 500 San Rafael, CA 94901 ❑OTH ❑PTY ❑SCC SUBTOTAL$ 1,100 Schedule A Summary *Contributor Codes 1. Amount received this period—itemized monetary contributions. IND-Individual Include all Schedule A subtotals. 1,900 COM-Recipient Committee 199 - (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 $ OTH Other(e.g., business entity) PTY-Political Party 3. Total monetary contributions received this period. 2,099 SCC-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CC)NT.) Monetary Contributions Received Amounts may be rounded Statement covers period itan to whole dollars. October 18, 2015 CALIFORNIA FORM from December 31, 2015 through Page ) NAME OF FILER I D.NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I D NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Hang Dean Huang ®IND Supervising Engineer 10/21/15 RPV CA 90275 ❑COM Infineon 400 400 400 ❑OTH ❑PTY ❑SCC Raffi Zerounian ®IND Attorney 10/29/15 RPV CA 90275 ❑COM Hanson Bridgett 200 200 200 ❑OTH ❑PTY ❑SCC John Girardi ®IND Lawyer 10/27/15 RPV CA 90275 Doom Girardi Keese 100 100 100 ❑OTH ❑PTY ❑SCC Denise Girardi IND Homemaker 10/27/15 RPV CA 90275 ❑coM 100 100 100 ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 800 *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g.,business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule C Type or print in ink. SCHEDULE C Amounts may be rounded Nonmonetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460 October 18, 2015 FORM from December 31, 201! 6 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D.NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO PER ELECTION DATE FULL NAME, STREET ADDRESS AND CONTRIBUTORDESCRIPTION OF DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARKET CALENDAR YEAR TO DATE (IF COMMI TEE,ALSO ENTER I D NUMBER) (IF SELF-EMPLOYED,ENTER VALUE NAME OF BUSINESS) (JAN 1 -DEC 31) (IF REQUIRED) ❑IND 11/3/15 PV Grill Doom Food for election 550 550 BOTH night thank you 550 PVE, CA 90274 ❑PTY event. ❑SCC ❑IND DOOM ❑OTH ❑PTY ❑SCC ❑IND DOOM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH []PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 550 Schedule C Summary *Contributor Codes 1. Amount received this period—itemized nonmonetary contributions. 550 IND-Individual (Include all Schedule C subtotals.) $ COM-Recipient Committee (other than PTY or SCC) 0 2. Amount received this period—unitemized nonmonetary contributions of less than$100 $ OTH-Other(e.g., business entity) PTY-Political Party 3. Total nonmonetary contributions received this period. 550 SCC-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Type printSCHEDULE E Schedule E T e or in ink. Statement covers period CALIFORNIA Amounts may be rounded 460 Payments Made to whole dollars. October 18, 2015 FORM from December 31, 201 Page Pa h / of SEE INSTRUCTIONS ON REVERSE through 9 NAME OF FILER I D NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Vons CMP Groceries for Election Night Thank You Event 155 , San Pedro, CA 90732 Writeindependentorg CMP Website Development 420 C/O Judy Frankel , RPV CA 90275 LA Newspaper PRT Newspaper Inserts 262 Woodland Hills, CA 91367 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 837 Schedule E Summary 15,573 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 91 2. Unitemized payments made this period of under$100 $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ _ 15,664 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule ESCHEDULE E(CONT.) Type or print in ink. (Continuation Sheet) Amounts may be rounded Statement covers period CALIFORNIA itan Pa ments Made to whole dollars. from October 18, 2015 FORM Y December 31, 201E. through Pae >I of--2-- SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D.NUMBER Susan Brooks for Rancho Palos Verdes City Council 2015 1378646 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I NUMBER) Campaign LA, Gardena, CA 90248 PRT Newspaper Inserts 12,238 Svornich Companies, Inc, San Pedro, CA 90734 CNS Consulting &Art for Mailers, Phone Data 1,800 Svornich Companies, Inc, San Pedro, CA 90734 CMP Robocalls 487 Facebook CMP Ads 211 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 14,736 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)